Using the arthroscopic surgery skill evaluation tool as a pass-fail examination.
Using the arthroscopic surgery skill evaluation tool as a pass-fail examination.
复制标题
DOI：
10.2106/jbjs.m.00340
复制
发表时间：
2013-12-04
期刊：
影响因子：
--
通讯作者：
Nicandri, Gregg T
中科院分区：
文献类型：
--
作者：
Koehler, Ryan J;Nicandri, Gregg T
背景：关节镜技能的检查需要有效可靠的评估工具和明确的通过标准。关节镜手术技能评估工具是一种基于视频的技术技能评估工具，通过标准由专家小组制定。本研究的目的是检验关节镜手术技能评估工具作为关节镜手术技能通过-不通过检查的有效性和可靠性。方法：记录28名住院医师和2名运动医学教员在我们的关节镜技术实验室对左侧和右侧尸体标本进行诊断性膝关节镜检查。手术视频由两名不知道受试者身份的评分者使用关节镜手术技能评估工具进行评估。当受试者在所有八个评估领域的得分均≥3分时，被认为通过了关节镜手术技能评估工具。结果：评分者同意对60个视频中的55个进行及格-不及格评级，类间相关系数值为0.83。30名参与者中有10人在实验室进行的两种诊断性关节镜检查中被两名评分者分配了及格分数。患者操作特征分析表明，记录超过80例关节镜病例或执行超过35例关节镜膝关节病例，可以预测在实验室进行的两项手术中获得关节镜手术技能评估工具评分。结论：在模拟实验室中，关节镜手术技能评估工具作为膝关节关节镜诊断的合格-不合格检查是有效和可靠的。临床意义：本研究表明，关节镜手术技能评估工具可能是模拟实验室中膝关节关节镜诊断合格与否检查的有用工具。关节镜手术技能评估工具是否可用于评估多种关节镜手术，是否可用于评估在手术室进行的关节镜手术，还需进一步研究。
BACKGROUND: Examination of arthroscopic skill requires evaluation tools that are valid and reliable with clear criteria for passing. The Arthroscopic Surgery Skill Evaluation Tool was developed as a video-based assessment of technical skill with criteria for passing established by a panel of experts. The purpose of this study was to test the validity and reliability of the Arthroscopic Surgery Skill Evaluation Tool as a pass-fail examination of arthroscopic skill.METHODS: Twenty-eight residents and two sports medicine faculty members were recorded performing diagnostic knee arthroscopy on a left and right cadaveric specimen in our arthroscopic skills laboratory. Procedure videos were evaluated with use of the Arthroscopic Surgery Skill Evaluation Tool by two raters blind to subject identity. Subjects were considered to pass the Arthroscopic Surgery Skill Evaluation Tool when they attained scores of ≥ 3 on all eight assessment domains.RESULTS: The raters agreed on a pass-fail rating for fifty-five of sixty videos rated with an interclass correlation coefficient value of 0.83. Ten of thirty participants were assigned passing scores by both raters for both diagnostic arthroscopies performed in the laboratory. Receiver operating characteristic analysis demonstrated that logging more than eighty arthroscopic cases or performing more than thirty-five arthroscopic knee cases was predictive of attaining a passing Arthroscopic Surgery Skill Evaluation Tool score on both procedures performed in the laboratory.CONCLUSIONS: The Arthroscopic Surgery Skill Evaluation Tool is valid and reliable as a pass-fail examination of diagnostic arthroscopy of the knee in the simulation laboratory.CLINICAL RELEVANCE: This study demonstrates that the Arthroscopic Surgery Skill Evaluation Tool may be a useful tool for pass-fail examination of diagnostic arthroscopy of the knee in the simulation laboratory. Further study is necessary to determine whether the Arthroscopic Surgery Skill Evaluation Tool can be used for the assessment of multiple arthroscopic procedures and whether it can be used to evaluate arthroscopic procedures performed in the operating room.